Notices & Policies:
Main Health Collective is committed to transparency with our patients. Here are important notices about your privacy rights, billing, and the policies that guide your care with us. If you have questions about any of the information below, please contact us at:
info@mainhealthcollective.com or7315 Clinton Hwy, Suite C, Powell, TN 37849.
Notice of Privacy Practices:
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.
If you have any questions about this notice, please contact our office:
Main Health Collective, 7315 Clinton Hwy, Suite C, Powell, TN 37849
Our Obligations
We are required by law to:
Maintain the privacy of protected health information ("PHI")
Give you notice of our legal duties and privacy practices regarding health information about you
Follow the terms of the notice currently in effect
How We May Use and Disclose Health Information
Described below are the ways we may use and disclose health information that identifies you ("Health Information"). Except for the purposes described here, we will use and disclose Health Information only with your written authorization. You may revoke an authorization at any time, in writing, to our Privacy Officer, except to the extent we have already acted in reliance on it.
Treatment.
We may use and disclose Health Information for your treatment and to provide treatment-related health care services. For example, we may disclose Health Information to your referring or family physician, or to other personnel involved in your care, who need the information to provide you with care.
Payment.
We may use and disclose Health Information so that we or others may bill and receive payment for treatment and services you receive.
Health Care Operations.
We may use and disclose Health Information for health care operations purposes, such as quality assessment, staff training, and practice management, to ensure all patients receive quality care.
Appointment Reminders, Treatment Alternatives, and Health-Related Benefits and Services.
We may use and disclose Health Information to contact you about appointments, treatment alternatives, or health-related
benefits and services that may interest you.
Individuals Involved in Your Care or Payment for Your Care.
When appropriate, we may share Health Information with a person involved in your care or payment for your care, such as a family member or close friend,
unless you object.
Research.
Under certain circumstances, and only after appropriate approval, we may use and disclose Health Information for research purposes.
De-Identified Information.
We may use and disclose information that has been de-identified in accordance with applicable law, meaning it no longer identifies you and, even without your name, cannot reasonably be used to identify you.
Personal Representative.
We may disclose Health Information to a person who, under applicable law, has the authority to represent you or make decisions on your behalf regarding your health care.Special Situations
As Required by Law.
We will disclose Health Information when required to do so by federal, state, or local law.
To Avert a Serious Threat to Health or Safety.
We will disclose Health Information when necessary to prevent a serious threat to your health and safety or that of the public or another person
Business Associates.
We may disclose Health Information to business associates who perform functions on our behalf, such as our electronic health record or billing platform. Business associates are contractually obligated to protect your information.
Worker's Compensation.
We may release Health Information for worker's compensation or similar programs that provide benefits for work-related injuries or illnesses.
Public Health and Health Oversight Activities.
We may disclose Health Information for public health activities (such as reporting abuse, neglect, or reactions to products) and to health oversight agencies for audits, investigations, and licensure activities authorized by law.
Lawsuits, Disputes, and Law Enforcement.
We may disclose Health Information in response to a court order, subpoena, or other lawful process, and in limited circumstances to law enforcement as permitted by law.
Coroners, Medical Examiners, and Funeral Directors.
We may release Health Information as necessary to identify a deceased person, determine a cause of death, or as needed by funeral directors to carry out their duties.
Your Rights
Right to Inspect and Copy.
You may inspect and obtain a copy of Health Information used to make decisions about your care, by submitting a written request to our Privacy Officer.
Right to Amend.
You may request that we amend Health Information you believe is incorrect or incomplete, by submitting a written request to our Privacy Officer.
Right to an Accounting of Disclosures.
You may request a list of certain disclosures we made of your Health Information, by submitting a written request to our Privacy Officer.
Right to Request Restrictions.
You may request a restriction on how we use or disclose your Health Information. We are not required to agree, but if we do, we will honor that restriction unless the information is needed for emergency treatment.
Right to Request Confidential Communication.
You may request that we communicate with you in a specific way or at a specific location (for example, by mail only). We will accommodate reasonable requests.
Right to a Paper Copy of This Notice.
You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
Changes to This Notice
We reserve the right to change this notice and to make the revised notice apply to Health Information we already have as well as information we receive in the future. A current copy will always be posted at our office and available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a written complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized for filing a complaint.
A signed acknowledgment of receipt of this notice is collected as part of our new patient intake paperwork.
Effective Date: August, 24th, 2026